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Clinical reasoning - A guide to improving teaching and practice.

Background The process of clinical reasoning is undertaken by all clinicians, often automatically, and is the cognitive process that underlies diagnosis and management of a patient's presenting problem. The teaching of clinical reasoning can pose a challenge to the clinical teacher. Objective This a...

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Published in:Australian Family Physician Vol. 41; no. 1/2; pp. 18 - 21
Main Authors: Linn A, Khaw C, Kildea H, Tonkin A
Format: research Journal Article
Published: Copyright Agency Limited Jan/Feb2012
Online Access:View this record in EBSCOhost
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        atl: Clinical reasoning - A guide to improving teaching and practice.
      aug:
        au:
          Linn A
          Khaw C
          Kildea H
          Tonkin A
        affil: MBBS, DCH, FRACGP, is Lecturer in Clinical Education, Medicine Learning and Teaching Unit, The University of Adelaide, South Australia.
      sug:
        subj:
          Clinical Competence
          Education, Medical
          Problem Solving
          Human
      ab: Background The process of clinical reasoning is undertaken by all clinicians, often automatically, and is the cognitive process that underlies diagnosis and management of a patient's presenting problem. The teaching of clinical reasoning can pose a challenge to the clinical teacher. Objective This article reviews the process of clinical reasoning and provides the teacher with a framework to teach clinical reasoning to students and junior doctors. Discussion By considering clinical reasoning as a skill to be learnt rather than a concept to be understood, a framework for teaching this skill can be developed. The learner initially observes a consultation by the teaching clinician, followed by the teacher explaining the reasoning processes used including hypothesising, hypothesis testing, re-analysis and differential diagnosis. The student then comments on the reasoning of the teacher in a subsequent consultation, followed by feedback from the teacher on the student's reasoning in a third consultation.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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